Organization Active NPI

Safe Exit Initiative (Sei), Inc.

  • Substance Abuse Rehabilitation Facility
  • Worcester, MA
National Provider Identifier
1104469592
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SAFE EXIT INITIATIVE (SEI), INC.
Practice address
40 Mendon St
Worcester, MA 01604-4824
Phone
(508) 471-5868
NPI assigned
Oct 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Courtney Ross Escobar, JD
Title
Co-Ceo & Coo
Phone
(617) 312-0848

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X
Mental Illness Community Based Residential Treatment Facility 320800000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

40 Mendon St
Worcester, MA 01604-4824

Mailing address

534 Cambridge St
Worcester, MA 01610-2646
Phone (508) 471-5868

Other names 2

  • Jana's Place Doing business as
  • Living In Freedom Together, Inc. LIFT Former legal business name

National Provider Directory

National Provider Directory

Locations

534 Cambridge St
Worcester, MA 01610

34 Cedar St
Ste 301
Worcester, MA 01609

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1104469592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 CAMBRIDGE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102646",
            "telephone_number": "508-471-5868",
            "fax_number": "508-762-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MENDON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016044824",
            "telephone_number": "508-471-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE EXIT INITIATIVE (SEI), INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-18",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "ESCOBAR",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "CO-CEO & COO",
        "authorized_official_telephone_number": "617-312-0848",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jana's Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Living In Freedom Together, Inc. LIFT",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.